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Alabama rates for HCPCS 64561

Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.23 / $1,130.47 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.88 / $618.01 / $1,130.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,917.46 / $9,584.71 / $12,894.52
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$11,876.19 / $14,377.08 / $19,341.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.83 / $596.41 / $964.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $700.23 / $1,671.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.00 / $6,079.00 / $9,624.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.15 / $702.76 / $1,681.77